CPT 76641 · professional fee

Ultrasound breast complete (CPT 76641): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 76641, from their published in-network rate files.

Diagnostic radiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$145

P10 to P90: $91 to $271

vs Medicare

145%

non-facility rate $100.20

Payer spread

1.41×

UHC $166 vs Aetna $118

State spread

2.7×

AK $250 to OK $92

5,774 sampled providers7,078 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 76641 in the files analyzed, at $166, 41% above Aetna ($118), the lowest of the 4 payers shown.

The state spread is 2.7×: Alaska has the highest median at $250 and Oklahoma the lowest at $92, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 145% of the Medicare non-facility rate ($100.20), which ranks 127th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $65) and widest within UnitedHealthcare ($107).

This is a top-28 code for diagnostic radiology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$166	$122	$229	+14%	1	3,939	166% of Medicare
Cigna	$156	$128	$218	+8%	2	4,580	156% of Medicare
Blue Cross Blue Shield	$142	$103	$184	-2%	3	4,567	142% of Medicare
Aetna	$118	$99	$164	-19%	4	3,564	118% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($100.20)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$250	+72%	Aetna	Cigna	61
2	Washington	$227	+56%	Aetna	BCBS	117
3	Wyoming	$207	+43%	BCBS	Aetna	41
4	Wisconsin	$206	+42%	UHC	Cigna	117
5	South Dakota	$201	+38%	Cigna	Aetna	85
6	Nebraska	$190	+31%	Cigna	Aetna	120
7	North Dakota	$188	+30%	BCBS	Aetna	83
8	Iowa	$184	+27%	Cigna	Aetna	100
9	Oregon	$178	+23%	UHC	BCBS	105
10	North Carolina	$178	+22%	Cigna	Aetna	121
11	Colorado	$170	+17%	UHC	Aetna	124
12	Idaho	$166	+15%	BCBS	UHC	124
13	Georgia	$165	+13%	Cigna	Aetna	128
14	Ohio	$164	+13%	UHC	Cigna	128
15	Montana	$162	+12%	Aetna	UHC	69
16	Utah	$153	+5%	UHC	Cigna	122
17	West Virginia	$151	+4%	UHC	Aetna	117
18	Virginia	$150	+3%	UHC	Aetna	119
19	Tennessee	$149	+3%	Cigna	Aetna	128
20	Missouri	$149	+3%	UHC	Aetna	123
20	New Hampshire	$149	+3%	UHC	Aetna	127
22	Vermont	$149	+2%	UHC	Aetna	63
23	New Jersey	$148	+2%	UHC	Aetna	126
24	Hawaii	$148	+2%	UHC	BCBS	105
25	Michigan	$147	+1%	Cigna	Aetna	116
26	Massachusetts	$146	+0%	UHC	Aetna	118
26	Connecticut	$146	+0%	UHC	Aetna	124
28	Maine	$144	-1%	UHC	BCBS	127
29	South Carolina	$143	-1%	Cigna	Aetna	111
30	Pennsylvania	$141	-3%	UHC	Aetna	119
31	Arkansas	$140	-3%	UHC	BCBS	116
32	California	$138	-5%	UHC	Aetna	107
33	Minnesota	$137	-6%	UHC	Aetna	123
34	Mississippi	$136	-6%	BCBS	UHC	112
35	Kansas	$134	-8%	BCBS	Aetna	116
36	Rhode Island	$134	-8%	UHC	Aetna	125
37	Louisiana	$132	-9%	Cigna	Aetna	121
38	Nevada	$131	-10%	BCBS	Aetna	123
39	District of Columbia	$130	-11%	UHC	BCBS	131
40	Florida	$128	-12%	Cigna	Aetna	106
41	New York	$128	-12%	UHC	Aetna	128
42	Delaware	$127	-13%	UHC	Aetna	98
43	Maryland	$126	-13%	UHC	BCBS	106
44	New Mexico	$125	-14%	UHC	BCBS	123
45	Arizona	$125	-14%	Cigna	Aetna	113
46	Illinois	$122	-16%	UHC	BCBS	122
47	Alabama	$118	-19%	Aetna	BCBS	126
48	Indiana	$113	-23%	UHC	Aetna	134
49	Kentucky	$109	-25%	Cigna	BCBS	133
49	Texas	$109	-25%	Cigna	BCBS	133
51	Oklahoma	$92	-36%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 76641?

In the files we analyzed, UnitedHealthcare, at a median of $166 across 3,939 sampled providers. Aetna is lowest at $118, 41% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 145% of the 2026 Medicare non-facility rate of $100.20.

Which state has the highest median for CPT 76641?

Alaska has the highest median at $250; Oklahoma has the lowest at $92.

Is this a professional fee?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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